Seizure Occurrence During Hyperbaric Oxygen Therapy: A Case Report and Literature Review

TL;DR

An 88-year-old patient had a seizure during hyperbaric oxygen therapy for bladder complications, showing the potential neurological risks of the treatment.

Contribution

Reports a new-onset seizure during first hyperbaric oxygen therapy session in an elderly patient.

Findings

Seizure occurred during initial hyperbaric oxygen therapy session in an 88-year-old patient.

Hyperbaric oxygen therapy may carry neurological risks despite its therapeutic benefits.

Case highlights the need to balance treatment benefits with potential adverse effects.

Abstract

Pelvic radiotherapy can lead to lasting bladder complications such as radiation-induced hemorrhagic cystitis. Hyperbaric oxygen therapy has emerged as a worthwhile intervention, enhancing tissue oxygenation and promoting neovascularization. However, hyperbaric oxygen therapy carries the risk of seizures, particularly with prolonged exposure to elevated pressures. In this case report, we describe a case of new-onset seizure occurrence in an 88-year-old patient during their first session of hyperbaric oxygen therapy for treatment of radiation-induced hemorrhagic cystitis, highlighting the complexities of balancing therapeutic benefits with potential neurological risks.

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